Acupuncture and related interventions for carpal tunnel syndrome: systematic review
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AbstractObjective:
To synthesize evidence on the effectiveness of acupuncture and related therapies for primary carpal tunnel syndrome (CTS) by conducting a systematic review of randomized controlled trials (RCTs).

Data Sources:
Nine databases were searched for potential RCTs from their inception till July 2019.

Review Methods:
RCTs which reported at least one of the three outcomes were included: symptom severity, functional status and pain. Included RCTs were appraised using the Cochrane Risk of Bias Tool.

Results:
A total of 10 RCTs (728 participants) were included. Majority were at high risk of bias for blinding of participants, personnel and outcome assessors. When compared to conventional medications, manual acupuncture showed significant superior effect in reducing symptom than ibuprofen (mean difference (MD) on Symptom Severity Scale (SSS)) = –5.80, 95% confidence interval (CI): −7.95 to −3.65) and prednisolone (MD = −6.50, 95% CI: −10.1, −2.86).
Electroacupuncture plus splinting was more effective in reducing symptom severity than splinting alone (SSS score: MD = −0.20, 95% CI: −0.36 to −0.03). Manual acupuncture showed significantly superior effect than ibuprofen in improving functional status (Functional Status Scale (FSS): MD = −1.84, 95% CI: −2.66 to −1.02). The combination of
electroacupuncture and splinting showed more improvement in functional status compared to splinting alone (FSS: MD = −6.22, 95%CI: −10.7 to −1.71). Triple treatment of acupuncture , magnetic spectrum heat lamp and splinting showed stronger pain relief than splinting alone.

Conclusion:
For both symptom relief and function improvement, manual acupuncture is superior to ibuprofen while electroacupuncture plus splinting outperforms splinting alone. Limited evidence showed electroacupuncture’s potential role in pain reduction.
All Author(s) ListIrene XY Wu, Victor CK Lam, Robin ST Ho, William KW Cheung, Regina WS Sit, Li-Wei Chou, Yan Zhang, Ting-Hung Leung, Vincent CH Chung
Journal nameClinical Rehabilitation
Year2020
Month1
Volume Number34
Issue Number1
PublisherSAGE Publications
Pages34 - 44
ISSN0269-2155
eISSN1477-0873
LanguagesEnglish-United States
KeywordsCarpal tunnel syndrome, acupuncture, moxibustion, transcutaneous electrical nerve stimulation, systematic review

Last updated on 2021-09-06 at 23:57